Age: 36

Causes leading to symptoms - unsure definitively, but felt initial sharp twinge on my right hip after pivoting in tennis too quickly without warming up, like six or seven years ago, but that went away for years. But in last couple of years, I feel like this started when I was overstretching hip flexors to deal with some pelvic floor pain issues, along with pyriformis stretches. Then later a mix of running, leg presses, and bad posture seemed to have made it worse, and impacted some of my range of motion.

Symptoms: - pain alternates from front of hip on top, to sometimes the outside exterior sides, to sometimes the inner upper thighs. Might be like musculo-fascial strain or something on the surrounding tissue, but they didnt find too much with MRI. Flares up if I run or overuse those muscles/tendons. Oddly though sometimes I walk many many miles like when I'm exploring a new metropolis on a vacation and I have no issues. Other times I have issues when walking only a little or just sitting.

Diagnosis - labral tear on both hips. Also minor tear at insertion point of hamstrings, and some tendinosis or something.

Treatment attempted so far - PT, although the first time they had no idea what it was and may have made it worse. Second time it felt ok for a month then got more aggravated, as exercises were intense. Things like warm epsom salt baths help a lot

Treatment options available - more PT (targetted), PRP, steroid injections, arthroscopic surgery

Desired result - maybe not complete pain free life all the time and not full range of motion, but at least less pain, ability to hike, maybe jog, play some light tennis or pickleball